{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:59:26Z","timestamp":1787169566155,"version":"build-2736575974"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To compare the post-cataract endophthalmitis (PCE) rates among eyes undergoing syringing or regurgitation on pressure over the lacrimal sac (ROPLAS) test prior to cataract surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We performed a single-center, retrospective, comparative analysis of eyes developing PCE who underwent syringing prior to cataract surgery (group A) in the pre-COVID-19 era between November 1 2019 and January 31, 2020 and the eyes that underwent ROPLAS test prior to cataract surgery (group B) in the COVID-19 era between November 1, 2020 and January 31, 2021.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 87,144 eyes underwent cataract surgery during the two time periods of the study. Syringing was performed in 48,071 eyes, whereas ROPLAS was performed in 39,073 eyes. In group A, 19 eyes (0.039%) developed PCE, whereas 20 eyes (0.051%) developed PCE in group B (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.517). Between the two groups, the grade of anterior chamber cellular reaction (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.675), hypopyon (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.738), and vitreous haze (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.664) were comparable. Gram-positive organisms were detected in 4 eyes in group A and 6 eyes in group B; 2 eyes in group A had gram-negative bacilli. The presenting visual acuity (Group A: LogMAR 1.42 and Group B: LogMAR 1.30) and final visual acuity (Group A: LogMAR 0.52 and Group B: LogMAR 0.5) were comparable between the two groups. (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.544 and 0.384, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The rates of PCE were comparable among the eyes undergoing either syringing test or ROPLAS prior to cataract surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_1218_21","type":"journal-article","created":{"date-parts":[[2021,10,5]],"date-time":"2021-10-05T11:42:39Z","timestamp":1633434159000},"page":"2824-2827","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":8,"title":["Comparison of post-cataract surgery endophthalmitis rates using syringing or regurgitation on pressure over the lacrimal sac as a preoperative screening tool for nasolacrimal duct obstruction: An impact assessment of protocol alteration due to the COVID-19 pandemic"],"prefix":"10.4103","volume":"69","author":[{"given":"Pratik","family":"Shenoy","sequence":"first","affiliation":[{"name":"Department of Vitreo-Retina and Uvea, Sadguru Netra Chikistalaya, Chitrakoot, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonali","family":"Mehta","sequence":"additional","affiliation":[{"name":"Department of DNB Resident, Sadguru Netra Chikistalaya, Chitrakoot, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chintan","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Pediatric Ophthalmology and Strabsimus, Sadguru Netra Chikistalaya, Chitrakoot, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajesh","family":"Joshi","sequence":"additional","affiliation":[{"name":"Department of Cataract and IOL, Sadguru Netra Chikistalaya, Chitrakoot, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pradhnya","family":"Sen","sequence":"additional","affiliation":[{"name":"Department of Pediatric Ophthalmology and Strabsimus, Sadguru Netra Chikistalaya, Chitrakoot, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Narendra","family":"Patidar","sequence":"additional","affiliation":[{"name":"Department of Orbit and Oculoplasty, Sadguru Netra Chikistalaya, Chitrakoot, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaurav Mohan","family":"Kohli","sequence":"additional","affiliation":[{"name":"Department of Vitreo-Retina and Uvea, Sadguru Netra Chikistalaya, Chitrakoot, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alok","family":"Sen","sequence":"additional","affiliation":[{"name":"Department of Vitreo-Retina and Uvea, Sadguru Netra Chikistalaya, Chitrakoot, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,9,25]]},"reference":[{"key":"B1-20240828","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.1001\/jamaophthalmol.2013.4242","article-title":"French Institutional Endophthalmitis Study Group. 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